Case 86: Leg ulceration
This patient has had trouble with leg swelling for some time.
1. What process has caused this appearance?
Chronic lymphodema2. What complication has then occurred?
Skin ulceration in an area of skin hyperkeratosis. This would most likely be simple ulceration, however an SCC developing in an area of chronic irritation (Marjolin's Ulcer) is a possibliity - this should be biopsied.New England Journal of Medicine - images in clinical medicine - Marjolin's Ulcer
Lymphoedema: Pathophysiology and management